Evidence map›Paper›PMID 40255894›Full record

ArticleFrontiers in neurology2025

Association of free-water imaging data for the cholinergic nucleus with the motor function and subtypes in Parkinson's disease.

Shanhu Xu, Xiaoli Si, Miao Cai, Fengli Fu, Jun Tian, Baorong Zhang, Xiaoli Liu

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Article in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Shanhu XuDepartment of Neurology, Affiliated Zhejiang Hospital Zhejiang University School of Medicine, Hangzhou, China.
Xiaoli SiDepartment of Neurology, The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, China.
Miao CaiDepartment of Neurology, Affiliated Zhejiang Hospital Zhejiang University School of Medicine, Hangzhou, China.
Fengli FuDepartment of Radiology, Affiliated Zhejiang Hospital Zhejiang University School of Medicine, Hangzhou, China.
Jun TianDepartment of Neurology, The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, China.
Baorong ZhangDepartment of Neurology, The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, China.
Xiaoli LiuDepartment of Neurology, Affiliated Zhejiang Hospital Zhejiang University School of Medicine, Hangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Despite the importance of clinical heterogeneity in Parkinson's disease (PD), its underlying pathophysiology remains unclear. Objective: This study aimed to distinguish the association of free-water (FW) imaging data for the cholinergic nuclei with the motor subtypes of PD. Methods: The study included 150 cases of idiopathic PD from the Parkinson's Progression Markers Initiative cohort. FW imaging, including FW-corrected diffusion tensor imaging, was used to extract structural metrics from cholinergic nucleus 4 (Ch4) in the basal forebrain and the pedunculopontine nucleus. The motor subtypes were classified as tremor-dominant (TD, Results: At baseline, FW value for Ch4 (FW-Ch4) was correlated with the tremor subscore, while FW-corrected fractional anisotropy in Ch4 (FA-t-Ch4) was negatively correlated with the rigidity subscore. However, the TD and non-TD groups showed no differences in cholinergic FW imaging data. Among the 84 patients who were followed-up, 36.36% (20/55) in the TD group and 34.48% (10/29) in the non-TD group showed a subtype shift after 4 years. Multivariate binary logistic regression analysis showed that the normalized FW value for Ch4 (nFW-Ch4) was a predictor of subtype at the 4-year follow-up ( Conclusion: Tremor and rigidity subscores were correlated with Ch4 FW imaging data. Moreover, Ch4 FW imaging predicted the motor subtype at the 4-year follow-up, especially identifying potential postural instability and gait difficulty (PIGD) subtype converters from the TD group.

Indexed as

cholinergic nucleus 4free-water imagingmotor subtypesParkinson’s diseasepedunculopontine nucleus

Identifiers

PMID40255894
PMCPMC12007432

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